E.R. / Trauma Nurse Skills Checklist

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Job Description: Staff Nurse - RN - Emergency Room Provides professional nursing care for assigned patients in the emergency room. Triages each patient and determines priority of care based on physical, psychological and social needs as well as factors influencing patient flow through the emergency care system. Performs focused assessment of chief complaint on each patient in a timely manner according to established triage guidelines. Must be a licensed registered nurse in the state that they work in. A minimum of 2 years of clinical experience is required. Familiar with standard concepts, practices, and procedures within a particular field. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. A wide degree of creativity and latitude is expected. Typically reports to a manager or head of a unit/department.

KEY: For each criteria Score 1: Two plus years Expert Experience Score 2: One-Two Years Current Experience Score 3: Less than one year or Intermittent Experience Score 4: Theory, no experience

CRITERIA	SCORE
	1 2 3 4
MEDICATIONS
Adenosine (Adenocard)
Aminophylline (theophylline)
Amiodarone (cararone)
Antiemetics
Antispasmodic
Atropine Administration and Maintenance
Bretylium Administration and Maintenance
Bronkosol (isoetharine hydrochloride)
Charcoal
Decadron (dexamthasone)
Digoxin Administration and Maintenance
Dilantin (phenytoin)
Diltiazem (Cardizem)
Dobutamine (dobutrex) Administration and Maintenance
Dopamine Administration and Maintenance (intropin)
Epinephrine (adrenalin) Administration and Maintenance
Esmolol (brevibloc)
Insulin (all types)
Ipecac
Isuprel (isoproterenol)
Lasix (furosemide)
Lidocaine (xylocaine) Administration and Maintenance
Mannitol
Nipride (nitroprusside) Administration and Maintenance
Nitroglycerin Administration and Maintenance
Oral Hypoglycemics
Phenobarbital
Procainamide (pronestyl)
Sodium Bicarbonate
Solu-Medrol
Steroids
Terbutaline
Thrombolytic Therapy
NEUROLOGICAL INCLUDING EENT & PSYCH
Assessment, Equipment, Procedures
Contact Lens Removal
Ear Irrigation
Eye Irrigation
Eye Patch, Application of
Florescent Lamp Exam, Set-Up
Glascow Coma Scale
Intracranial Pressure Management (Positioning, Temp, Ventilation)
Intracranial Pressure Monitoring
Level of conscious
Lumbar Puncture, Assist With
Morgan Lens Irrigation
Nasal Packing
Reflex Motor Deficits
Visual Acuity Assessment
Visual or Communication Deficits
Care of Patients with
Basal Skull Fracture
Closed Head Trauma
CVA/TIA
Delirium Tremors
Encephalitis
External VP Shunts
Meningitis
Neuromuscular Diseases
Overdose
Seizure Activity
Spinal Cord Injury
CARDIOVASCULAR
Assessment, Equipment, Procedures
Basic 12 Lead Interpretation
Arrhythmia Interpretation
Arterial Line, Assist with Insertion and Setup
Aucultation, Rate & Rhythm
Cardioversion / Defibrillator Use
Central Venous Line, Assist Insertion and Setup
CVP Monitoring & Wave Form Interpretation
Doppler
Heart Sounds, Assessment of sounds and murmurs
Pacemaker, Assist with Insertion & Set-up
Swan Ganz / PA Catheter, Assist with Insertion and Setup
Care of Patients With
Acute MI
Aneurysm
Angina
Cardiac Arrest
CHF
Dehydration, Acute - TRAUMA / SHOCK
Myocarditis
PULMONARY
Assessment, Equipment, Procedures
Arterial Blood Gases, Interpretation of Lab Results
Bag and Mask
Breath Sounds
Chest Tube Insertion, Assist With
Chest Tube, Measuring
Chest Tube, Removal
Endotracheal Tube / Suctioning
ET Tube
Extubation, Assist Management of
Inhalers, Meter Dose
Intubation, Assist With
Nasal Airways & Suctioning
Nasal Cannula
Nebulizer
Oropharyngeal / Suctioning
Portable O2 Tank
Pulse Oximetry
Rate and Work of Breathing
Sputum Specimen Collection
Thoracentesis, Assist With
Trach Collar
Tracheostomy / Suctioning, Assist With
Ventilator - External CPAP
Care of Patients With
Aspiration
COPD
Hemopneumothorax
Laryngospasm
Pneumonia
Pneumothorax
Pneumothorax, Tension
Pulmonary Edema
Pulmonary Embolism
TB
Ventilator - Care of Patient On
GASTROINTESTINAL
Assessment, Equipment, Procedures
Abdominal / Bowel Sounds
Blood Chemistry Interpretation
Colonoscopy, Assist With
Fluid Balance
Nasogastric Tube, Placement of
Nutritional Status
Saline Lavage
Salem Sump Tubes
Care of Patients With
Abdominal Trauma
Bowel Obstruction, Acute
GI Bleed
Hepatitis
Liver Failure
GENITOURINARY / REPRODUCTIVE
Assessment, Equipment, Procedures
BUN & Creatinine
Fluid & Electrolyte Balance Interpretation
Foley Catheter, Insertion & Care of
Specimen Collection - Urine
Care of Patients With
Acute Renal Failure
Peritoneal Lavage
Renal Trauma
Urinary Tract Infection
ENDOCRINE / METABOLIC
Assessment, Equipment, Procedures
Blood Glucose Measurement, Visual Strips
Blood Glucose Monitoring
1) Electronic Measuring Device
2) Performing Finger Stick
Signs/Symptoms Diabetic Coma
Signs/Symptoms Insulin Reaction
Care of Patients With
Diabetic Ketoacidosis
MUSCULOSKELETAL
Assessment, Equipment, Procedures
Cane / Crutch
Cast, Assist With Placement of
Cervical Collar
Circulation Checks
Gait, Assessment of
Range of Motion, Assessment of
Skin, Assessment of
Sling
Support Devices
Transfer Boards
Care of Patients With
Ankle Brace
Ankle Splint
Pinned Fractures
Knee Immobilizer
Wrist Splint
TRAUMA / SHOCK
Assessment, Equipment, Procedures
Champion Trauma Score Assessment
Mast Suit Application
Poison Index
Triage
Care of Patients With
Amputation
Bites, Animal
Bites, Human
Bites, Snake
Bites, Spider
Burns
First Degree
Second Degree
Third Degree
Rule of Nines
Electrocution, Care of
Gunshot Wounds
Hazardous Material Exposure
Heat Exhaustion / Stroke
Hypothermia
Major Trauma
Minor Trauma
Radiation Exposure
Shock
Anaphylactic
Cardiogenic
Hypovolemic
Neurogenic
Septic
Stab Wounds
Transport of Trauma Patients, Air
Transport of Trauma Patients, Ground
WOUND MANAGEMENT / SURGICAL
Equipment and Procedures
Culdocentesis tray
Steristrips, Application of
Staples, Assist with
Staples, Removal of
Suture Tray, Set up of
Sutures, Assist with
Suture, Removal of
PHLEBOTOMY / IV THERAPY / INVASIVE PROCEDURES
Equipment and Procedures
Administration of blood / blood products
Autotransfusion
Cryoprecipitate
Packed red blood cells
Plasma/albumin
Whole blood
Assist with cutdown
Drawing venous blood
Starting IV's
Angiocath
Butterfly
Heparin lock
Care of patients with
Angiography
Central line/catheter/dressing
Broviac/Hickman
Groshong
PICC
Portacath
Pericardiocentesis
PAIN MANAGEMENT
Pain Level & Tolerance Assessment
Epidural Anesthesia / Analgesia, Care of Patients with
IV Conscious Sedation, Care of Patients with
PEDIATRICS
Equipment and procedures
Child abuse / recognition/reporting
Obtaining consent to treat
Pediatric arrest
Care of Patients with
Epiglottitis
Near Drowning
Overdose/poison ingestion
Status asthmaticus
Status epilepticus
WOMEN'S HEALTH
Assessment, Equipment and Procedures
Pelvic Exam, Assist with
Pelvic Tray
Rape Kit
Reporting acts of violence
Care of Patients with
Abruptio placenta
DIC
Hemorrhage
Placenta previa
Precipitous delivery
Preeclampsia/eclampsia
Spontaneous abortion
MISCELLANEOUS
AMA procedures
Suicide precautions

AGE SPECIFIC CARE
Please indicate the frequency with which you provide care for each age group inthis specialty area.	1	2	3	4
Infant (Birth to 1 year)
Toddler (1-3 years)
Pre-school (3-6 years)
School Age (6-12 years)
Adolescent ( 12-18 years)
Young Adult ( 18-30 years)
Mature Adult (30-60 years)
Elderly (>60 years)

JCAHO: I acknowledge and understand JCAHO's list of "Do Not Use Abbreviations" : Yes No

The information I have given is true and accurate to the best of my knowledge. I have read and fully understand the job description. By signing below or submitting electronically, I attest that the information provided within this skills checklist represents a full and complete disclosure of information, and is true and correct to the best of my knowledge and belief. I hereby authorize Sagent Healthstaff to release this skills checklist to client facilities for employment purposes.

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* Date: (mm/dd/yyyy) :